Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $50.51	Facility		$32.47	$32.47	$50.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.49 / $28.60 / $32.47	Professional		$27.49	$28.60	$32.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $24.36 / $25.64	Facility		$24.36	$24.36	$25.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $25.64 / $34.61	Professional		$24.36	$25.64	$34.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $34.19 / $85.68	Facility		$25.64	$34.19	$85.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $22.22 / $34.19	Professional		$22.22	$22.22	$34.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $39.24 / $49.04	Professional		$24.26	$39.24	$49.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $32.47 / $56.84	Facility		$25.53	$32.47	$56.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $29.23 / $41.02	Professional		$25.53	$29.23	$41.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $28.31 / $38.21	Professional		$25.47	$28.31	$38.21
United Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $15.82 / $25.29	Professional		$11.76	$15.82	$25.29